Rental Application

Address of Apartment Wanted:*

Apt. Size:

Monthly Rent:

Appl. Fee:

Appl. Deposit:

Move-in Date:

Lease Term:

Lease Start:

Agent:

APPLICANT'S FULL NAME*

Date of Birth*

Marital Status

Present Address*

Present Telephone*

Email*

Present Landlord

Present Landlord Phone #

How long have you lived at present address?

Current rent?

Reason for moving

PREVIOUS ADDRESS*

How long did you live at previous address?

EMPLOYMENT:

Employed by?*

How Long?

Employer's address*

Telephone

Your position

Social Security #*

Salary

Per

Any Pets?

Other Residents?

Relationship

Age

Have you ever been convicted of a crime? Y/N* YesNo

If "Yes" date of conviction

Nature of conviction

Automobile

Year

Color

Tag#

State

Driver's License#

State

In case of emergency, notify*

Relationship*

Address*

Phone*

REFERENCES:

Your Bank & Branch*

Account#*

I (we) hereby make application for an apartment and certify that the above information is correct. I (we) authorize Landlord to obtain information it deems desirable in the processing of my application, including; credit reports, civil or criminal actions, rental history, employment/salary details, police and vehicle records and any other relevant information. If this application is withdrawn by the Applicant(s) or rejected by the Landlord due to false information or if the applicant(s) refuses to sign the Landlord's standard lease, (a copy of which is available upon request), the deposit made with this application may be retained by the Landlord as partial payment of damages. If such occurs, the Applicant(s) agrees that he (they) shall have no claim or other cause of action against the Landlord or his agent because of this application or anything resulting from it. I (we) have read and understand the information and agreement above as indicated by my (our) signature below.

APPLICANT'S SIGNATURE*

CO-SIGNED

DATE*